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Respecting patient autonomy: legal and professional considerations

In this month's Policy column, Iwan Dowie explores patient autonomy – a concept largely embedded within the community nursing setting. Through legal cases, a history of laws relating to patient...

Hope and dementia

Hope is a very personal construct, meaning different things for different people, and it is likely to change over the course of time. We are all able to think of things which give us hope when things...

Frailty and nutrition

Early identification of frailty enables healthcare professionals to develop an appropriate care plan that is designed to meet specific needs of older people, so it is important to ask, how can we...

Type 2 diabetes post pandemic: enabling your patients to regain control

‘…a chronic, metabolic disease characterised by elevated levels of blood glucose (or blood sugar), which leads over time to serious damage to the heart, blood vessels, eyes, kidneys and nerves.’ .

Compassion fatigue in community nursing: what is it, who is susceptible, and what can be done?

‘Losing your ability to show care and compassion because you're just so overwhelmed with the amount of support you've been giving to people – patients, relatives, colleagues.’ .

Can supplementing vitamin B12 improve mental health outcomes?: a literature review

The World Health Organization (WHO) (2014) defines mental health as a state of wellbeing, in which an individual recognises their own potential and has the ability to cope with normal life stresses...

Talking to older people about alcohol and risk

Regular use of alcohol is a key risk factor that has a significant impact on a range of health conditions, including cardiovascular disease, neurological disorders, cancers and diabetes (Department of...

What is working and what isn't in healthcare?

Every year since I can remember there have been apocalyptic headlines declaring that the NHS is at breaking point or close to it. The current dispute with hospital doctors has added pressure to the...

Research Roundup

The significant role of mental health in overall health and wellbeing is being increasingly recognised, along with the contribution of holistic non-pharmacological approaches to their management. In...

Spare a thought for the lonely: the role of palliative care

While it is clear from the literature that policies and interventions focus on patients and older people who are alone, there is a paucity of strategies to ‘tackle’ loneliness. The obvious...

Record keeping and the community nurse

Record keeping is an integral part of community nursing practice and there is an obligation placed upon the community nurse to record good, clear and accurate information about their patients (Royal...

Loneliness in older adults

“The district nurse's role is highly complex and requires skills in negotiating, coaching, teaching and supporting people and their carers, whilst effectively collaborating with other agencies and...

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